INDEPENDENCE MANOR CARE CENTER

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Independence Manor Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

Very High Rehabilitation

High Rehabilitation

Medium Rehabilitation

Clinically Complex

Behavioral Symptoms and Cognitive Performance

Reduced Physical Function

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Missouri are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

Short-Term Stay Preventive Actions

Short-Term Stay Deficiencies

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 12/03/2010.

Administration

Train All Employees on What to Do in an Emergency. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Keep Accurate and Appropriate Medical Records. Inspection Date: 03/30/2010 Correction Date: 05/01/2010

Environmental

Provide Needed Housekeeping and Maintenance. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Have Enough Outside Airflow. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/30/2010 Correction Date: 05/01/2010
Provide at Least One Room to Use As a Dining Room and for Activities, That is a Good Size, with Good Lighting, Airflow and Furniture. Inspection Date: 03/30/2010 Correction Date: 05/01/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment. Inspection Date: 12/03/2010 Correction Date: 01/05/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 03/30/2010 Correction Date: 05/01/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/30/2010 Correction Date: 05/01/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 03/30/2010 Correction Date: 05/01/2010
Provide Activities to Meet the Needs of Each Resident. Inspection Date: 12/03/2010 Correction Date: 01/05/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 12/03/2010 Correction Date: 01/05/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 12/03/2010 Correction Date: 01/05/2011

Resident Assessment

Make Sure All Assessments Are Accurate, Coordinated by an Rn, Done by the Right Professional, and Are Signed by the Person Completing Them. Inspection Date: 03/30/2010 Correction Date: 05/01/2010

Resident Rights

Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Provide Services to Meet the Needs and Preferences of Each Resident. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 03/30/2010 Correction Date: 05/01/2010
Properly Hold, Secure and Manage Each Resident's Personal Money Which is Deposited with the Nursing Home. Inspection Date: 03/30/2010 Correction Date: 05/01/2010

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

The table below lists incident reports by the nursing staff or administration for Independence Manor Care Center, as well as complaints by residents or their family in the previous three years.

Quality Care

Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 02/04/2009 Correction Date: 01/01/1900
Give the Right Treatment and Services to Residents Who Have Mental or Social Problems Adjusting. Complaint Filed: 02/04/2009 Correction Date: 03/21/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Complaint Filed: 03/30/2009 Correction Date: 04/22/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 04/19/2011 Correction Date: 06/02/2011

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Independence Manor Care Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 12/03/2010.

Automatic Sprinkler Systems

Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 12/03/2010 Correction Date: 01/05/2011

Building Construction

Approved Construction Type or Materials. Inspection Date: 03/30/2010 Correction Date: 05/01/2010

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Signs That State That Exit Doors Are to Be Kept Closed. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Corridor and Hallway Doors That Block Smoke. Inspection Date: 03/30/2010 Correction Date: 05/01/2010

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/30/2010 Correction Date: 05/01/2010

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 03/30/2010 Correction Date: 05/01/2010

Furnishings and Decorations

Exits That Are Free from Obstructions and Can Be Used at All Times. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Restrictions on the Use of Flammable Curtains. Inspection Date: 12/03/2010 Correction Date: 01/05/2011

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 02/04/2009 Correction Date: 03/21/2009
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 03/30/2010 Correction Date: 05/01/2010

Smoking Regulations

Posted "No-Smoking" Signs in Areas Where Smoking is Not Permitted or Did Not Provide Ashtrays Where Smoking Was Allowed. Inspection Date: 03/30/2010 Correction Date: 05/01/2010

Vertical Openings

Exit Doors That Are Held Open by Devices That Will Automatically Close on the Activation of a Fire Alarm or Smoke Detectors. Inspection Date: 03/30/2010 Correction Date: 05/01/2010